NPIMap

Organization Active NPI

Greater Minds, LLC

  • Adult Mental Health Clinic/Center
  • Suffolk, VA
National Provider Identifier
1184203176
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GREATER MINDS, LLC
Practice address
215 Reservoir LN
Suffolk, VA 23434-4456
Phone
(757) 822-9139
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vonda Latoyisha Warren-Lilly, LPCNPI 1669059432
Title
Owner
Phone
(757) 822-9139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

215 Reservoir LN
Suffolk, VA 23434-4456

Mailing address

1024 Centerbrooke LN Ste F
#169
Suffolk, VA 23434-8294
Phone (757) 822-9139

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1184203176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 CENTERBROOKE LN STE F",
            "address_2": "#169",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348294",
            "telephone_number": "757-822-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RESERVOIR LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344456",
            "telephone_number": "757-822-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "WARREN-LILLY",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "LATOYISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-822-9139",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.